54432D - Hall

❑LAMA / 1�4113REDGE & FILL 5o.
GENERAL PERMIT Previous permit#
RNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
orized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC //7. doo d �7 / 11 1,2OG
[L}Rules /attttached.
nt Name 41lJI/11M sw/
clywe A01 I Project Location: County &U1Vc/�
s/ ,3? J-?!/ 2A/9M { S/. Street Address/ State Road/ Lot #(s)
le clO/0" r'604-1- State ZIP
#(/Q)7Y2•V ib Fax#( )
ized Agent 6rQF'� t�lCJp
❑ CW
SEW
EDPTA ;4S
❑ PTS
d
❑ OEA
❑ HHF
❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑ FC:
yes / 0 o _
PNA
yes
Crit.Hab. yes / no
A Project/ Activity
e .. C e
Zly,s
J
lock) length
-m(s) lb ,X �2 i
pier(s)
length
umber
,�,d�iprap length
vg distance offshore
iax distance offshore
channel
ubic yards_
amp
)use/ Boatlift
Bulldozing
ine Length
© f
not sure yes
igs: not sure yes
>rium: n/a yes
��
�_'
Attached: yes
Subdivision
City
ZIP
Phone # ( ) River Basin
n U i
Adj. Wtr. Body (_ i91.11f L =� 4�1 wnat
Closest Maj. Wtr. Body 1�91 G1/4/
/ /1/ �� M f
(Scale:
Jing permit may be required by: Ne Lp/v„� �p9L./ ❑ See note on back regarding River Basin

zO

I
or
B

DIVISION OF COA.S'I'AL ?M A1414 CEM-Y'r4T
ADJACENT RZPARI,8-N PROPERTY 4WTJXRR S T E�E�� �
A
�Z -
� ' -y,�r� �� � M fie'' ��.1•- ;rr�..Srt
Ad.ir ess of :Property ;..Cc�u�n
(L¢t cr SIwet N, Street"Road, City & tY)
Applicant's pbc to r - ` Y � `'=.-'1 tvtw.tag AdJmss:
mdua.l applying [oar this permit
I hereby eeryify that i Own properry;kdj"Ont to the above zofexvtrod prciperty.
isul
�li>G
lass Arise&-ee ko mo as showy art the anachad drawing ft dtveio MW ttaey arc Prop031ng- A dcW60im-oMra,wimz.
!/ I laate no objections to this proMsal.
. I hSve obfeetio00 to this propeeal.
ion$ towltrr' is being proposed, you trtt A notify the1)ivlsion of Comtui Ma.a�agement (I►�M)
If you byvs abject
itt v�ritio� �++itt!<iaa d�:nce t6ostld be tma'trod tm 12a�ardiasri I RN Ext.
10 dstys of recctPt Of !Iris notke- a Carr*Pan
Witntington, NBC 2840S.3W. DCM represantrrttvai can $too be coutsmad ut [phone]. No t�pnstsee is
C moiksa�n►e ao no ieedon if Vol is--e ti by Cartififf M.ui� t .... --
I ua&rstartd that $ pier, dge
15, from nay area of riparim
nppropTistw Watk hela%.)
WAIVER. SECTION
k„ mkp�rng pilings, bteakwatgr, br+athou.<e, ;or lift mast be sot beck a miatitnym li$taric3 of
access unless waived by grit. (If vau wish to waive tht setback, You must initiai the
Y i do wiA to waive the l S' sct back tegiuirernent
I do n()t wish x, waive the IS' set back roquimnicnt,
t3's otanr`tY Ovrnr r Ittfetrtnatie►n) _ --- -'� (Itparip 1"rropeny ()"aa intormsMOR) T .
. ,��tv� 5i�+►ature
Print or Type Nam'
Ma;iio Addres4
2.
City / State / Z'rp
'relcpiiore.Ntuttlxr %r �;' j5b/
Dace
- 2ZLIW,3 - 0- L�-. -.. � �z a a R-, 4 � -
Rrtrit of Type NaMe
MsilittigAclar+►+srf
City r star , zip
Telaphtxis Number
127 Carditi2a Drive Ext,'Alk"rgaon, North Csrok►a 2MS-3845
Phme M.74ri-721.5 FAX [phone] Internet: www.rtuc08ara1m8n#4emer4, aW
An t?.quar CiPPWI aitr t nplst►stive A*M EMV"w , V% RNcyCWd � tl % hM ^AmJt er Pepe(

MFfK— 1- (—dU 1 1 10b 44 KHVL MINA LYCGUI.JK T 71 174000k9OU t' . e
ERTI ED L ILV CEIrtRE E
DIVISION OF COASTAL. MANAGEMENT
ADJACENT RIPARIAN PROPERTY 0". ER STAIMM- Erti
Name of Property Owner:
Address of Property:
Appl icattt's phone t►:/L3 ��� �� 56 Mailing Address:
ad scent to the above referenced property The individual applying for this P'
1 hereby certify flat I own propertyj t,of
has described to me as shown on the attached drawing the development they are proposing. Ade�.,nr;endm
----- - -
withio
I have no objections to this propoul.
I have objoctions to this proposal•
If you have obieetions to what is being proposed, you MWA notify the Division of Condsl Mattagemeat (D
in Nritintg witkto 10 days of receipt of this notice. Correspondence should be ousted to 127 Cardinal Drly�
wurnington, NC 23405-3945. DCM representatives can also be contacted at [phone]. No rup"N
considered &Ne swe as RO ob'eet n if YOU Aavt btW-nqfdttd bj Certified Mail.
.. WAIVER SBCTION - .
I understand that a pier, dock. tuooring pilings, breakwater, boathouse, or lift must be set back a minimum disu�
I S' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initiat 0
approView blank below.)
I do wish to waive the IS' set back requirement.
I do not wish to waive the IS I set back requirement.
(Property Owner Information) LpariaA Property eer Iaform atioa)

3licant:
Permit #: C/C
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremer
nd in your Habitat code sheet.
�itat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated fin
disturbance.
Excludes any
restoration ands
temp impact
amount)
S�
Dredge ❑ Fillo Both ❑ Other ❑
Tel
OIL
Dredge ❑ Fill ❑ Both ❑ Other.
% �d
Dredge ❑ Fill ❑ Both ❑ Other
/,9 2-
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

HOLDEN DOCK & BULKHEADS
GREGORY A & DOROTHY HOLDEN
910-842-9732 HIS NCDL 4576438 HERS 5202642
1502 STONE CHIMNEY RD SW
SUPPLY, NC 28462
IWACCAMAW
BANK
Supply, NC 28462 l l pb Q � )
umw.uraccamawbank.com '
i:053 11 2 I5 21:8000 1575301,8039
3902
66-1215/531
84
/ 0
c. ,
K,Mntl Clarke WILDLIFE PDRTRAITSA